Evidence map›Paper›PMID 42171693›Full record

ArticlePsychopharmacology2026

TM5441, a PAI-1 inhibitor, attenuates chronic stress-induced anxio-depressive-like behaviors by restoring the hippocampal PAI-1/tPA/BDNF axis.

Amine Bahi, Jean-Luc Dreyer

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Article in Psychopharmacology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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5 · Who and what money

Authors and funding

2 authors.

Amine BahiDepartment of Basic Medical Sciences, College of Medicine, Ajman University, Ajman, UAE. a.bahi@ajman.ac.ae.
Jean-Luc DreyerDivision of Biochemistry, Department of Medicine, University of Fribourg, Fribourg, Switzerland.

Funding

Ajman University 2019-IRG- MED-1Schweizerischer Nationalfonds zur Förderung der Wissenschaftlichen Forschung 3100-059350
6 · The paper itself

Abstract

rationaleChronic unpredictable mild stress (CUMS) is a validated model of anxiety- and depression-like disorders and is associated with impaired neuroplasticity. Dysregulation of the plasminogen activator system, particularly elevated plasminogen activator inhibitor-1 (PAI-1), may disrupt tissue plasminogen activator (tPA)-dependent brain-derived neurotrophic factor (BDNF) signaling and contribute to stress-induced behavioral deficits. However, the therapeutic relevance of PAI-1 inhibition in mood disorders remains poorly defined.

aimThis study examined whether pharmacological inhibition of PAI-1 using TM5441 could alleviate CUMS-induced anxiety- and depression-like behaviors by modulating the hippocampal PAI-1/tPA/BDNF axis.

methodsMale and female C57BL/6 mice were exposed to CUMS for 3 weeks. TM5441, a selective SERPINE1 (PAI-1) inhibitor, was administered intraperitoneally (5 mg/kg) 20 min before behavioral testing, based on established efficacy and safety. Control mice received the vehicle (DMSO diluted in saline). Anxiety- and depression-like behaviors were assessed using the elevated plus maze, open field, sucrose preference, tail suspension, and forced swim tests. Hippocampal PAI-1, tPA, and BDNF levels were quantified, and correlations with behavioral outcomes were analyzed.

resultsTM5441 reversed CUMS-induced anxiety-like behaviors and depression-like responses. At the molecular level, TM5441 normalized stress-induced elevations in hippocampal PAI-1, restored tPA expression, and increased BDNF levels. Significant correlations were observed between PAI-1, tPA, and BDNF, as well as between hippocampal molecular markers and behavioral measures.

conclusionPAI-1 inhibition by TM5441 alleviates stress-induced behavioral deficits by restoring hippocampal tPA/BDNF signaling, highlighting the PAI-1/tPA axis as a promising therapeutic target for stress-related mood disorders.

Indexed as

AnxietyBrain-Derived Neurotrophic Factor (BDNF)Chronic Unpredictable Mild Stress (CUMS)DepressionMental illnessPAI-1 inhibitortissue Plasminogen Activator (tPA)

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.